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The Embodiment Assessment
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The Embodiment Advantage™ Assessment
You have an incredible gift through which you can experience and enjoy life; to use your four channels of embodiment to your advantage for personal and professional success. This assessment evaluates how strongly or weakly embodied you are in each of the four channels. The results guide you to improve your mental performance, emotional resiliency, and physical vitality with confidence and purpose.
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How connected do you feel to your body?
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This field is required.
Move the slider to represent your answer and you'll see the emoji face change with each interval. The position to the far right means you feel tightly connected to your body with with a high level of awareness, confidence and reverence for your body. The position to the far left means you feel disconnected to your body and/or frustrated with it. It could also mean you're spending much time in your head (over-thinker) with little awareness for what's happening in your body.
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3
What and How You Eat
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Choose an answer for each sentence.
Hardly Ever
Sometimes
Usually
90% of the Time or More
I eat healthy food.
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I put energy into what I eat by engaging with meal planning, grocery shopping or meal prep.
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I welcome less healthy food as a pleasurable treat.
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I eat healthy food.
I put energy into what I eat by engaging with meal planning, grocery shopping or meal prep.
I welcome less healthy food as a pleasurable treat.
Hardly Ever
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4
Weight / Body Size
*
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Move the slider to represent how you feel about each topic. You'll see the emoji face change with each interval.
Level of happiness with my weight/body size.; it represents who I am and how I feel inside.
I peacefully maintain my weight.
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Level of happiness with my weight/body size.; it represents who I am and how I feel inside.
I peacefully maintain my weight.
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5
I have a pattern (even if mild) of engaging with troublesome eating behaviors such as overeating, binge eating, restricting, boredom/mindless eating or emotional/stress eating.
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YES
NO
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6
Energy Levels
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Choose an answer for each sentence.
Hardly Ever
Sometimes
Usually
90% of the Time or More
I have good physical energy throughout the day.
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I have good mental energy throughout the day.
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I have good physical energy throughout the day.
I have good mental energy throughout the day.
Hardly Ever
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7
Your Relationship with Food
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I eat mindfully; I'm aware of the taste and pleasure of my food.
I'm in control of how much I eat because I only eat as much as my body needs in that meal.
I eat my food without guilt.
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I eat mindfully; I'm aware of the taste and pleasure of my food.
I'm in control of how much I eat because I only eat as much as my body needs in that meal.
I eat my food without guilt.
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8
I devote a minimum of 30 minutes to move my body.
*
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Choose one answer.
Almost every day
1-3 times per week
A few times a month
I don't exercise much
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9
I enjoy my chosen movement type when I exercise.
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(i.e. yoga, jogging, lifting weights, dancing)
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10
The Body's Natural Rhythm
*
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Choose one answer for each sentence.
Hardly Ever
Sometimes
Usually
90% of the Time or More
I honor my body's natural rhythm by exercising during the time of day when I have the most energy.
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I allow myself to rest in the afternoon if/when I have an energy dip.
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I honor my body's need for the minimum number of hours required to be fully rested.
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I honor my body's natural rhythm by exercising during the time of day when I have the most energy.
I allow myself to rest in the afternoon if/when I have an energy dip.
I honor my body's need for the minimum number of hours required to be fully rested.
Hardly Ever
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11
Self-Talk
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I speak positively to myself about myself.
I speak positively to myself about life situations.
I speak positively to myself about other people.
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I speak positively to myself about myself.
I speak positively to myself about life situations.
I speak positively to myself about other people.
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12
I say something negative to myself ABOUT myself:
*
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Choose one answer.
Hardly ever
Several times per week
Once in a day
Multiple times in a day
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13
What are you currently struggling with?
*
This field is required.
Check all that apply.
My body size and/or my diet
Time or motivation to exercise
Chronic physical symptoms
Energy
Something about my physical appearance (besides body size)
The aging process
None of these
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14
I feel stressed, overwhelmed or anxious:
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Choose one answer.
Hardly ever
Sometimes
Usually
Daily
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15
I engage with the following techniques to keep myself centered and strong:
*
This field is required.
(Check all that apply)
Exercise (any form)
Meditation
Journaling / Methods of Self-Reflection
Breathwork
Practices to Strengthen Intuition
I don't have any regular practices in this area
Something else not listed
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16
Pleasure & Pain
*
This field is required.
I have a healthy relationship with pleasure by welcoming it and consciously experiencing it without guilt.
I have a healthy relationship with pain by paying attention to it instead of ignoring it or getting angry at it.
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I have a healthy relationship with pleasure by welcoming it and consciously experiencing it without guilt.
I have a healthy relationship with pain by paying attention to it instead of ignoring it or getting angry at it.
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17
With regard to sensuality, I consider myself to be:
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Choose one option.
A highly sensual person and I relish in the experience of sensuality.
Normal; probably like most other folks.
Neutral; I can take it or leave it.
Not particularly sensual or touchy-feely.
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18
Mental Focus
*
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Hardly Ever
Sometimes
Usually
90% of the Time or More
I'm mentally focused and end the day feeling like I was productive and "on point."
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I'm mentally focused and end the day feeling like I was productive and "on point."
Hardly Ever
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19
What are you currently struggling with?
*
This field is required.
Check all that apply.
Making clear decisions that align with my values and priorities
Starting too many things and not finishing them
Setting boundaries with others; too much people pleasing
Overthinking; too much time ruminating the same things
Personal or professional development
Maintaining a success mindset
None of these apply
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20
With regard to the balance between the time and energy I spend toward work and the time and energy I allocate to family, personal relationships or passion pursuits:
*
This field is required.
Choose one option.
It's balanced and harmonious - no complaints.
Work/life balance is not perfect but it doesn't stress me out too much.
It's fair to poor; I wish it were different.
What on earth is work/life balance?
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21
What tends to interrupt your well-being and/or performance?
*
This field is required.
Check all that apply.
A racing mind. I can't focus on what I need to do.
Abrupt mood change or too many mood changes overall.
Can't find time for the self-care I know I should be doing.
Stress, overwhelm or anxiety.
Certain relationships in my life.
A situation I can't control.
Bad Habits
Excessive screen time and Social Media
None of these apply.
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22
I'm a strong and confident communicator because what I say and how I communicate what I say are both aligned with what I genuinely mean.
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23
What are you currently struggling with?
*
This field is required.
Check all that apply.
Feeling out of control (with anything; food, thoughts, about situations, etc)
Feeling confident in myself
Feeling enough joy or happiness
Reactivity; I quickly react negatively too often.
Communicating physically, mentally and emotionally with agency
The negative things I say to myself
None of these
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24
Those Squirrelly Emotions
*
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I'm aware of what I'm feeling and can identify the emotion with a word such as sad, frustrated, embarrassed or joyful.
I process what I'm feeling through my body when I'm feeling it.
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I'm aware of what I'm feeling and can identify the emotion with a word such as sad, frustrated, embarrassed or joyful.
I process what I'm feeling through my body when I'm feeling it.
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25
If you could pick one superpower to have that you currently don't have, which would it be?
*
This field is required.
Choose one option.
To be at my peak with impeccable health, vitality and energy
To consistently mentally perform for greater financial abundance and personal impact
To be a rockstar feeler who uses my emotions to my advantage every day
To connect with myself in a way that gives me full confidence and self-trust to make decisions that are best for my life
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26
And finally, what are you craving right now?
*
This field is required.
Check all that apply.
To have a more positive and loving relationship with my body
To feel healthier, stronger and/or to have more energy
To be more productive and get things done. To be more successful.
To connect with myself (my spirit/truth/essence) more regularly and/or more deeply
To love myself more
To explore sensuality or femininity/masculinity (in myself and/or with another)
None of these apply
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27
What's your name, friend?
*
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First Name
Last Name
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28
The email where you'd like to receive assessment results when they are ready:
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* Please know the automated report is not yet finalized. In the meantime, please take advantage of complementary 1:1 time with Cynthia to go over your results and receive immediate guidance to strengthen your embodiment where you need it most. Details on the next page.
example@example.com
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